Individual
THOMAS W. BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1331 MINNICH RD, NEW HAVEN, IN 46774-2051
(260) 425-5000
(260) 425-5048
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047495A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111945
ANTHEM
IN
01
—
00001891442 02
UNITED HEALTHCARE
—
01
—
080130063
RAILROAD MEDICARE
IN
05
—
200177810
—
IN
01
—
5704611
AETNA
—
01
—
9597
PHYSICIANS HEALTH PLAN
IN
Enumeration date
12/09/2005
Last updated
10/07/2022
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